title: Anatomic biventricular repair in right isomerism with noncommitted ventricular septal defect.
abstract: Biventricular repair in right atrial isomerism is rarely feasible due to associated anomalies of venous connection, ventricular imbalance, nonroutabilty of the interventricular communication, a common atrioventricular junction, and inadequate pulmonary arterial branches. These patients are also often not ideal for univentricular repair due to some of the above associations. We describe a novel surgical technique that was utilized in such a patient for biventricular repair of a child with right atrial isomerism with total anomalous pulmonary venous connection, regurgitant common atrioventricular valve, hypoplastic left ventricle, nonroutable ventricular septal defect, and pulmonary stenosis.
authors.affiliation: Department of Pediatric Cardiac Surgery, Intensive Care Fortis-Escorts Heart Institute, Okhla, New Delhi, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Katewa
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Marwah
authors.forename: Vishal
authors.initials: V
authors.lastname: Singh
authors.forename: Arun
authors.initials: A
authors.lastname: Ramaswamy
authors.forename: Rajesh
authors.initials: R
authors.lastname: Sharma
keywords: common AV valve; left ventricle; total cavopulmonary connection; ventricular septal defect